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Application of evidence based practice in nursing
Application of evidence based practice in nursing
Application of evidence based practice in nursing
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Evidence-based practice is a clinical judgment that promote patient satisfaction is in the health care organization. For example, when I insert indwelling Foley catheter and change the colostomy bag, first I clean the area very-well also make sure that the area is dry and clean if not easily bacteria and fungus will grow, thus patient became infected. Nursing ethics refers to moral judgment and standards of conduct. Nurses should have the ability to provide safe and compassionate care. For example, when inserted and discontinue indwelling Foley catheter indwelling Foley catheter, first I provided privacy to show respect and dignity, thus I provide safe and compassionate care. Nursing students are responsible
What is meant by evidence-based practice and how is this different from an historical standpoint.
In healthcare today, it has become more apparent that evidence-based practice (EBP) is essential to incorporate into every facility, but nurse leaders have noted difficulties during the implementation process. Therefore, Melnyk and Fineout-Overholt recommend that practice changes should be guided by conceptual models and frameworks (2015). In order to effectively integrate EBP into facilities, eight models were created. Within this discussion, the Evidence-Based Advancing Research and Clinic Practice through Close Collaboration (ARCC) Model will be investigated (Melnyk & Fineout-Overholt, 2015).
The Code of Ethics for Nurses was created to be a guide for nurses to perform their duties in a way that is abiding with the ethical responsibilities of the nursing profession and quality in nursing care. The Code of Ethics has excellent guidelines for how nurses should behave, however; these parameters are not specific. They do not identify what is right and wrong, leaving nurses having to ultimately make that decision. Ethics in nursing involves individual interpretation based on personal morals and values. Nursing professionals have the ethical accountability to be altruistic, meaning a nurse who cares for patients without self-interest. This results in a nurse functioning as a patient advocate, making decisions that are in the best interest of the patient and practicing sound nursing ethics.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
Evidence-based practice is a problem-solving approach to clinical and patient preferences, also defined as the spirit of inquiry, where the ongoing curiosity about the best evidence, guide clinical decision making. Formulating a clinical question in a systematic way makes easier to find an answer quickly and efficient, leading to improved processes and patient outcomes. Nursing practice is very dynamic because new information coming from new studies, practice, social issues and technology advance.
An evidence based practice committee is a committee within a health care facility that determines the best clinical practices by nurses using current research. These committees determine how policies, protocols, and procedures should be completed, in their specific facility, to have the best possible outcome for the patient.
●According to Hain and Kear (2015), evidence based practice (EBP) is known to improve patient experience of care, plummeting per capita costs of healthcare, and improving the health of populations.
Furthermore, this makes them an ideal population which demonstrates vulnerable immune system and prone to ward off infections with much weaker internal defense system available to them. These patients are already exposed to different types of commensals inside and out of their bodies. This makes it extremely important for ICU caregivers to follow strict procedure/checklist so that external bacteria will not infiltrate through invasive central line-catheter. This also helps reduce stress on patients and costs on
Nursing ethics has a vast spectrum of subjects. The history of ethics was around way longer then the declaration of specific ethical issues. According to Fox, Myers and Pearlman (2007), the field of ethics consultation has been developing over the last three decades, (Kosnick 1974; Rosner 1985). Ethics has become an organized and accepted division of healthcare services. Gallagher (2010), discussed the purpose of nursing ethics is to help us think, speak and perform better in our practice. The Nursing Code of Ethics was addressed by Lachman (2009). “Futile care” is discussed by Sibbald, Downar, Hawryluck (2007). Ball (2009) addressed the need for clarification of DNR orders in surgery patients.
“Ethics is a systematic study of principles of right and wrong conduct” (Taylor, Lillis, Lynn, & LeMone, 2015, p. 96). The American Nurses Association Code of Ethics has nine provisions to it. All nine are important to the nursing field in their own way. There are two provisions that I find most important in helping my career as a nurse. Provision one, The nurse, in all professional relationships, practices with compassion and respect of the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal, attributes, or the nature of health problems. Secondly provision two, the nurse’s primary commitment is to the patient whether an individual, family, group, or community.
To conclude Evidence Based Practice is a process of building up accurate information from medical research which has been correlated and assessed. From this the nurse is capable of advising the best plan of care. For nursing standards to improve it is vitality important that the nurse is given the time to research and the trust to start off the process of change for better care.
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their
Ethics asses the values, morals, and principles of nurses. Legal codes or laws are rules established by our government. It’s important that nurses have a clear and comprehensive understanding of ethical and legal codes within their career. The understanding of these codes is essential for nurses to safely practice and to protect their patients. Nurses must abide by these principles or face the consequences of legal action. These principles include autonomy, utilitarianism, confidentiality, and many others. Autonomy is the agreement to respect ones right to determine a course of action, while utilitarianism is what is best for most people as defined in American Nurses Association. In order to give you a
Today I also gained experience performing technical skills, that I had yet to complete in the clinical setting. With nurse supervision I successfully removed my patient’s NG-tube and peripheral IV, as well as changed her ostomy appliance. It was exciting to see how the education I have received in the laboratory setting has quipped me with the knowledge needed to implement safe practice techniques. I demonstrated a safe practice throughout implementation of the specific technical interventions, and taught my patient about the purpose of my actions in a way that was appropriate for her level of understanding.
The commitment to ethics in nursing education is at best uneven across programs. Some programs require a specific course (or more) in ethics ( Michael D, Dahnke PhD ). Ethics are very important in the practice of nursing, to make sure the treatment of patients is in the right way. (Macciocchi French, Bush, 2009) The relationship between health care worker and patient must be characterized by privacy, linked to the patient's need to ease the suffering of quickly.(Macciocchi French, Bush, 2009) .also ,To influence patient care from an ethical perspective, nurse needs Knowledge of ethical principles, such as autonomy and beneficence,and to be a major player in the decision-making process regarding patient care ( Parker, F,2007) . A nurse who understands ethical principles, and can use this understanding to influence the health care team to apply these principles, has successfully used power by influencing the action and behaviours of others. (Parker, F.2007)In addition, profession such as nursing, this intends to serve the good of others with a direct impact on the health and lives. (Michael D. Dahnke PhD) .Also, the nurse involved in the establishment and improvement of health care settings to provide health care consistent with the values of the profession through collective action or individual. Also involved in the advancement of the profession through the development